Alumni Association of Lakehead University

Personal Information

• Name:*
• Degree/Year:
• Alumni Number (if known):
• Student Number (if known):

New Home Address

You only need to fill in the information that has changed, unless you have never filled in an alumni update form before, in which case you should fill in all relevent information.

• Address:
• Address 2:
• City:
• Province/State:
• Postal Code/Zip Code:
• Telephone:*
• Email:*

New Home Address (International)

• Full Address:
  
  
  
  

• Telephone:
• Email:

Current Employment

• Title/Position:
• Department:
• Employer:
• Street:
• City/Prov/Postal Or City/State/Zip:
• Telephone:
• Fax:
• Email:

Current Employment (International)

• Title/Position:
• Department:
• Employer:
• Telephone:
• Fax:
• Email:

• Full Address:
  
  
  
  

Class News

• Additional Information: